The Medicare Physician Payment Innovation Act, if signed into law, would repeal the SGR and set up a five-year trial period during which physician payments would stabilize and the Centers for Medicare and Medicaid Services would test new payment and delivery models. TSCL strongly believes that the SGR breeds uncertainty in the Medicare program for both physicians and beneficiaries. Many doctors have stopped accepting Medicare patients, and many more are threatening to do so if a permanent solution is not established soon. We believe that Rep. Schwartz's bill would bring increased stability to the program, and we urge Congress to pass it by the end of this year..TSCL enthusiastically supports H.R. 2575, H.R. 1205, and H.R. 242, and we were pleased to see support grow for each one this week. For more information about these and other bills, visit the Bill Tracking section of our website..So, I decide to put the bills back on the table and take out the trash first..Not only has our government changed the way inflation is measured, and thus reduced Social Security benefits, they accomplished this without a single vote by our elected lawmakers. Congress has ducked their responsibility by leaving the job of tinkering with the math to unelected economists, leaving voters with no opportunity to hold anyone accountable..Nearly 1.5 million public servants are currently affected by the WEP because they have earned pensions from their state or local government, but have also paid into Social Security through previous or secondary employment. Their earned Social Security benefits are often reduced by as much as 40 percent. In addition, the GPO affects public servants who are entitled to Social Security spousal or survivors benefits based on the work history of a husband or wife. Nine out of ten times, the benefits to which they are entitled are eliminated altogether..Yet even a "limited approach" like this one could create huge new long-term costs for Social Security and Medicare. Citizenship is not a requirement to claim Social Security benefits. Work authorization, like the type under discussion in the House, is all that immigrants would need to at some point file claims..One way to strengthen Social Security is to do what's known as "scrapping the cap." Americans only contribute to Social Security on the first 7,200 in income earned every year. That makes no sense. Why should the very wealthiest get a tax break, when nurses, electricians, and grocery store clerks pay into the system on 100 percent of their earnings? Closing this loophole would extend the program for at least another generation..Wednesday's vote marks an important step in the confirmation process, and she now faces only one more vote from the full Senate. Senate Majority Leader Harry Reid has said that he hopes to schedule a final confirmation vote before the end of the month. The overwhelming display of support from lawmakers on both sides of the aisle on Wednesday means that Burwell's path to confirmation will likely be an easy one. Nonetheless, TSCL will continue to keep a close eye on the process in the coming days..The Congressional Budget Office recently reviewed a proposal that would boost the taxable amount of Social Security benefits, as one of the options for Congress to consider to reduce the federal deficit. The proposal, which the CBO has reviewed in prior versions of its Options to Reduce the Deficit, would tax Social Security and Railroad Retirement benefits the same way that distributions from defined benefit pensions are taxed. This is expected to increase the taxable income of older Americans.

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However, because Democratic control of Congress is so narrow, especially in the Senate but also in the House, the chances of passing anything this year remain uncertain, at best. Democrats are divided in what they want to accomplish so coming up with a majority in the House has been a struggle. Without complete Democratic unity in the Senate nothing can pass there..Representative C.W. Bill Young.The poll raises questions about both the adequacy of Social Security benefits, and proposals that would make seniors pay an even bigger share of their healthcare costs in the future. According to the Social Security Administration, the median income for retirees aged 65 and older is just ,056.[1] In 2010, the most recent year for which data is available, Medicare beneficiaries spent ,734 on out-of-pocket costs on average, including premiums for Medicare and other supplemental insurance or health plans.[2] … Continued

Andy Ahuja Md Ent Specialist Houston

President Trump recently signed an executive order intended to change Medicare by expanding the role of Medicare Advantage - the private insurance alternative to Medicare. Medicare Advantage plans have been growing in popularity in recent years enrolling about one third of the nation's 61 million Medicare enrollees..The retirement pensions of most average Americans, however, have not received the same level of dedicated protection from our elected lawmakers over the years. In 1977, Congress enacted changes to the Social Security benefit formula that cut benefits for persons who first became eligible to retire just two years later. Because of flaws in the transition and unexpectedly high inflation during the period, benefit reductions were even greater than anticipated. Seniors born from 1917 through 1926, known as Notch Babies, receive lower benefits than other seniors with similar work and earnings records. According to studies for TSCL, Notch Babies' benefits are ,000 to ,000 per year lower, on average, than those of other retirees with similar work and earnings records..In fact, according to research by The Senior Citizens League, homeowner's insurance has grown 199 percent since 2000, making it one of the fastest growing costs that retirees face, second only to prescription drug costs. Joe reports that his homeowners and car insurance have increased every renewal period over the past two years. His homeowner's premiums rose from ,284 a year to ,566, an increase of 22 percent. Joe's auto insurance premiums increased 0 over the last four renewal periods, which are every six months, despite no tickets or accidents. Government subsidized FEMA flood insurance this year increased 7.4%. … Continued

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